Is this worth a trip to the dr (toe pain)?

My big toe on my left foot has been hurting for about a year more or less. At first I thought it was just sprained or a minor injury, but it often feels like it needs to be popped back into place (it is very painful to do that). I don't want to go to the dr if he's just going to wrap it up (I've been doing that some), but I'm afraid it may be gout or a dislocation and I would be better off going. What do u think? Thanks!